Chronic hypertrophic non-allergic rhinitis

Abstract

Introduction: Chronic hypertrophic non-allergic rhinitis is an important public health problem that affects about 5% of world population. The evolution of chronic hypertrophic rhinitis is slow and gradual, sometimes occurring complications that lead to respiratory, emotional and social failure, and to prevent this, it is necessary to identify risk factors and to apply proper treatment, as early. Purpose: to detect high-risk factors in the development of chronic hypertrophic non-allergic rhinitis, contemporary useful and appropriate treatment.

Materials and methods: In the ward „Otorhinolaryngology”, „Em. Cotaga” Clinic, between 2011-2015 were hospitalized 84 children with chronic hypertrophic non-allergic rhinitis, with ages between 0-18 years. Based on patient records from the archive „Em. Cotaga”. Clinic was effectuated a retrospective study determining risk factors and methods of treatment for hypertrophic rhinitis. The children were treated surgically: to 48 children (57%) wasperformed electric cautery, to 22 children (26%) was carried out conchotomie, to 13 children (16%) was performed vasectomy, and 1 child (1%) was applied to laser therapy.

Results: The patients with chronic hypertrophic non-allergic rhinitis are affected by environmental factors as: place of residence (urban: 56 children- 67%), the result is conditioned by the fact that air pollution in cities is due to a higher level of exhaust gases and of chemicals from factories, due to dust’s nefarious action, due to reduced green spaces; the cigarette smoke (smoking parents to 59 children- 70%), it’s a clear relationship between rhinitis prevalence and presence of cigarette smoke; the temperature and humidity (winter and spring were hospitalized 52 children- 62%), specific for chronic hypertrophic non-allergic rhinitis is seasonal exacerbation during the change of temperature and humidity. An essential role in the rhinitis’ pathogenesis have concomitant diseases that favor or complicate its development (45 children- (54%) with chronic hypertrophic non-allergic rhinitis, also suffer from deviation of the nasal septum). The surgery is the first choice in chronic hypertrophic nonallergic rhinitis because drug treatment, often, is administered improperly inducing secondary drug rhinitis, complicating the first one. The intervention of choice in chronic hypertrophic non-allergic rhinitis in children is electrical cauterization, because this method preserves the integrity of mucosa and allows maintaining normal function of the respiratory epithelium.

Conclusion: We can conclude that chronic hypertrophic non-allergic rhinitisis a frequent pathology in adolescents. An important role in promoting, producing and developing chronic hypertrophic non-allergic rhinitis have environmental factors. The way of solving the respiratory problem in hypertrophic rhinitis is surgery.